우울 개선을 위한 요가치료 접근법에 관한 소고
A Study on Yoga as a Therapeutic Approach for Depression
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현대 사회에서 요가는 보완대체의학분야에서 심신중재법으로 인정받고 있다. 서구에서는 요가가 근골격계 질환뿐 아니라 심리적 건강 증진을 위한 방법으로 폭넓게 활용되고 있지만, 국내에서는 요가중재법의 활용 및 임상적 검증이 미흡한 실정이다. 본 논문에서는 임상 현장에서 요가중재법의 적용 가능성을 높이기 위해, 우울 개선을 위한 요가치료 프로그램의 실제 내용과 방법들을 분석하였다. 통합의학 분야와 협업을 하는 심리치료사나 요가치료사가 실행하고 있는 다섯 개의 접근법을 선정하여 프로그램의 구성 및 내용을 제시하였다. 그리고 핵심적인 공통 요소로 치료적 적용과 변형, 반복적인 움직임과 정적인 자세의 결합, 자기 자각을 증진시키는 수련 방식-마음챙김요가, 호흡 알아차림과 호흡 조절, 보조도구 활용, 랑가나와 브름하나 원리, 지속적인 수련의 중요성 등 일곱 가지를 제시하였다. 향후 국내 심신건강분야에서 요가중재법이 다양하게 활용되기를 기대하며, 이를 위해 요가중재법의 실제 내용 및 치유 기전에 관한 실증적인 연구가 요구된다.
Abstract
In modern society, yoga is classified as a mind-body intervention in the field of Complementary and Alternative Medicine. In the West, yoga is widely used as an intervention to improve psychological health as well as musculoskeletal diseases; however, in Korea, the use of yoga intervention and the clinical verification is insufficient. This study analyzes the actual contents and methods of yoga therapy programs for the improvement of depression in order to increase the applicability of yoga intervention in clinical sites. This study selects five approaches implemented by psychotherapists and yoga therapists who collaborate with the field of Integrative Medicine and presents the program's composition and contents. And this study presents seven key common elements: therapeutic application and adaption, combining repetitive movement with static postures, practice for improving self-awareness: mindful yoga, mindful breathing and regulation of breathing, use of props, the principle of laṅghana and bṛmhaṇa, and the importance of continuous practice. In the future, it is expected that the yoga intervention will be used in various ways in mental and physical health field in Korea, and more verified researches on the actual contents and mechanisms of the yoga intervention are required.
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